Tran Marie Thi Dao, Skovbjerg Sine, Arendt-Nielsen Lars, Bech Per, Lunde Marianne, Elberling Jesper
The Danish Research Centre for Chemical Sensitivities, Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, Ledreborg Allé 40, 2. th., DK-2820 Gentofte, Denmark.
Center for Sensory-Motor Interaction, Department of Health Science and Technology, Aalborg University, Frederik Bajers Vej 7 D3, DK-9220 Aalborg, Denmark.
Scand J Pain. 2014 Apr 1;5(2):104-109. doi: 10.1016/j.sjpain.2013.11.008.
Background Multiple chemical sensitivity (MCS) is a chronic, disabling condition characterized by recurrent multisystem symptoms triggered by common airborne chemicals. Evidence points towards abnormal sensory processing in the central nervous system (CNS) as a likely pathophysiological mechanism. No effective treatment has yet been reported, but clinical observations suggest that as pulsed electromagnetic fields (PEMF) is a treatment for some CNS disorders (depression and chronic pain), it may also be a treatment modality for MCS. Methods In an open case study, the effects of PEMF were assessed in three MCS patients. All cases received 30 min daily treatment 5 days a week for 8 consecutive weeks. Symptoms and functional impairments related to MCS, depressive symptoms, and capsaicin-induced secondary punctate hyperalgesia were assessed at baseline and weekly until an 18-week follow-up. Results Two of the three cases showed considerable improvement on all measures of symptoms and functional impairments related to MCS in response to PEMF therapy. One case showed no improvement and during the treatment period was unexpectedly diagnosed with depression. Conclusion Our findings indicate potential benefits of PEMF therapy in MCS. Implication The therapeutic effect of PEMF in MCS needs to be investigated by a randomized placebo-controlled trial.
多重化学物质敏感症(MCS)是一种慢性致残性疾病,其特征为常见空气传播化学物质引发反复出现的多系统症状。有证据表明,中枢神经系统(CNS)异常的感觉处理可能是其病理生理机制。目前尚未报道有效的治疗方法,但临床观察表明,由于脉冲电磁场(PEMF)可用于治疗某些中枢神经系统疾病(抑郁症和慢性疼痛),它也可能是治疗MCS的一种方式。方法:在一项开放性病例研究中,对3例MCS患者评估了PEMF的效果。所有病例每周接受5天、每天30分钟的治疗,连续治疗8周。在基线时以及每周直至18周随访时,评估与MCS相关的症状和功能障碍、抑郁症状以及辣椒素诱导的继发性点状痛觉过敏。结果:3例患者中有2例在接受PEMF治疗后,与MCS相关的所有症状和功能障碍指标均有显著改善。1例患者无改善,且在治疗期间意外被诊断为抑郁症。结论:我们的研究结果表明PEMF治疗对MCS有潜在益处。启示:PEMF对MCS的治疗效果需要通过随机安慰剂对照试验进行研究。